Healthcare Provider Details

I. General information

NPI: 1861099178
Provider Name (Legal Business Name): NINOSKA MONTEIRO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2020
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 NW 87TH AVE STE 101102
DORAL FL
33172-2654
US

IV. Provider business mailing address

2000 NW 87TH AVE STE 101102
DORAL FL
33172-2654
US

V. Phone/Fax

Practice location:
  • Phone: 305-718-9138
  • Fax:
Mailing address:
  • Phone: 305-718-9138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11009573
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: